Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策)
Objectives To investigate the risk factors of delayed gastric emptying (DGE) after laparoscopic pancreaticoduodenectomy (LPD), and summarize the nursing measures of prevention and treatment for DGE, so as to provide reference basis for clinical nursing work in the future. Methods Between April 201...
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Journal of International Translational Medicine Limited
2021-06-01
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| Series: | 中西医结合护理 |
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| Online Access: | http://www.zxyjhhl.hk/thesisDetails#10.12209/j.issn2709-1961.202101116 |
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| author | ZHANG Qi (章棋) XIAO Li (肖黎) CAO Xinyan (曹鑫彦) HAN Juan (韩娟) |
| author_facet | ZHANG Qi (章棋) XIAO Li (肖黎) CAO Xinyan (曹鑫彦) HAN Juan (韩娟) |
| author_sort | ZHANG Qi (章棋) |
| collection | DOAJ |
| description | Objectives To investigate the risk factors of delayed gastric emptying (DGE) after laparoscopic pancreaticoduodenectomy (LPD), and summarize the nursing measures of prevention and treatment for DGE, so as to provide reference basis for clinical nursing work in the future. Methods Between April 2018 and December 2019, clinicopathological data of 163 patients underwent LPD were retrospectively collected, including general information, laboratory data, operative data and postoperative outcomes. All patients were divided into 2 groups according to whether delayed gastric emptying occurred after operation, then risk factors of delayed gastric emptying following LPD were analyzed. Results The results shown that the diabetes (P=0. 017), degree of weight loss (P<0. 001), decrease of albumin on the 3rd and 1st day after operation (P = 0. 006), off bed time after surgery (P=0. 010), postoperative pancreatic fistula (P=0. 005), postoperative bleeding (P<0. 001), and intra-abdominal abscess (P=0. 031) were associated with the delayed gastric emptying after LPD. The postoperative hospital stay in the gastric emptying delayed group was significantly longer than that in the non-gastric emptying delayed group (30. 00±18. 40 vs. 21. 00±7. 90 days, P=0. 016). Conclusion Delayed gastric emptying after LPD prolongs the hospitalization time and affects the postoperative recovery of the patients. Due to many factors affect the occurrence of delayed gastric emptying, it is necessary to strengthen the assessment of risk factors and provide targeted nursing to reduce the occurrence of delayed gastric emptying after LPD. (目的 探讨腹腔镜下胰十二指肠切除术(LPD)后胃排空延迟的相关危险因素, 总结预防和治疗的护理措施, 为临床护理工作提供参考依据。方法 回顾性收集2018年4月—2019年12月医院胆胰外科163例LPD患者的一般资料、实验室指标、手术基本资料、术后一般资料。按是否术后发生胃排空延迟对所有患者进行分组, 分析影响其发生的危险因素。结果 LPD术后胃排空延迟的影响因素包括糖尿病史(P=0. 017)、体质量下降程度(P＜0. 001)、术后第3天与术后第1天白蛋白下降值(P＝0. 006)、术后下床活动时间(P＝0. 010)、术后并发胰瘘(P＝0. 005)、术后出血(P＜0. 001)及腹腔感染(P=0. 031)。胃排空延迟组术后住院时间显著长于非胃排空延迟组(30. 00±18. 40 d vs. 21. 00±7. 90 d, P=0. 016)。结论 LPD术后胃排空延迟延长患者的住院时间, 影响患者术后恢复, 其围术期影响因素较多。需加强危险因素评估, 提供针对性护理, 以减少LPD术后胃排空延迟的发生。) |
| format | Article |
| id | doaj-art-2bcd8cf9d5a44327835c28fa2e0bf555 |
| institution | DOAJ |
| issn | 2709-1961 |
| language | zho |
| publishDate | 2021-06-01 |
| publisher | Journal of International Translational Medicine Limited |
| record_format | Article |
| series | 中西医结合护理 |
| spelling | doaj-art-2bcd8cf9d5a44327835c28fa2e0bf5552025-08-20T02:51:53ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612021-06-0176374210.55111/j.issn2709-1961.202101116T202101116Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策)ZHANG Qi (章棋)0XIAO Li (肖黎)1CAO Xinyan (曹鑫彦)2HAN Juan (韩娟)3Department of Biliary Pancreatic Surgery, Tongji Hospital Affiliated to Tongji Medical College of HuazhongUniversity of Science and Technology, Hubei, Wuhan, 430030 (华中科技大学同济医学院附属同济医院 胆胰外科, 湖北 武汉, 430030)Department of Biliary Pancreatic Surgery, Tongji Hospital Affiliated to Tongji Medical College of HuazhongUniversity of Science and Technology, Hubei, Wuhan, 430030 (华中科技大学同济医学院附属同济医院 胆胰外科, 湖北 武汉, 430030)Department of Biliary Pancreatic Surgery, Tongji Hospital Affiliated to Tongji Medical College of HuazhongUniversity of Science and Technology, Hubei, Wuhan, 430030 (华中科技大学同济医学院附属同济医院 胆胰外科, 湖北 武汉, 430030)Department of Biliary Pancreatic Surgery, Tongji Hospital Affiliated to Tongji Medical College of HuazhongUniversity of Science and Technology, Hubei, Wuhan, 430030 (华中科技大学同济医学院附属同济医院 胆胰外科, 湖北 武汉, 430030)Objectives To investigate the risk factors of delayed gastric emptying (DGE) after laparoscopic pancreaticoduodenectomy (LPD), and summarize the nursing measures of prevention and treatment for DGE, so as to provide reference basis for clinical nursing work in the future. Methods Between April 2018 and December 2019, clinicopathological data of 163 patients underwent LPD were retrospectively collected, including general information, laboratory data, operative data and postoperative outcomes. All patients were divided into 2 groups according to whether delayed gastric emptying occurred after operation, then risk factors of delayed gastric emptying following LPD were analyzed. Results The results shown that the diabetes (P=0. 017), degree of weight loss (P<0. 001), decrease of albumin on the 3rd and 1st day after operation (P = 0. 006), off bed time after surgery (P=0. 010), postoperative pancreatic fistula (P=0. 005), postoperative bleeding (P<0. 001), and intra-abdominal abscess (P=0. 031) were associated with the delayed gastric emptying after LPD. The postoperative hospital stay in the gastric emptying delayed group was significantly longer than that in the non-gastric emptying delayed group (30. 00±18. 40 vs. 21. 00±7. 90 days, P=0. 016). Conclusion Delayed gastric emptying after LPD prolongs the hospitalization time and affects the postoperative recovery of the patients. Due to many factors affect the occurrence of delayed gastric emptying, it is necessary to strengthen the assessment of risk factors and provide targeted nursing to reduce the occurrence of delayed gastric emptying after LPD. (目的 探讨腹腔镜下胰十二指肠切除术(LPD)后胃排空延迟的相关危险因素, 总结预防和治疗的护理措施, 为临床护理工作提供参考依据。方法 回顾性收集2018年4月—2019年12月医院胆胰外科163例LPD患者的一般资料、实验室指标、手术基本资料、术后一般资料。按是否术后发生胃排空延迟对所有患者进行分组, 分析影响其发生的危险因素。结果 LPD术后胃排空延迟的影响因素包括糖尿病史(P=0. 017)、体质量下降程度(P＜0. 001)、术后第3天与术后第1天白蛋白下降值(P＝0. 006)、术后下床活动时间(P＝0. 010)、术后并发胰瘘(P＝0. 005)、术后出血(P＜0. 001)及腹腔感染(P=0. 031)。胃排空延迟组术后住院时间显著长于非胃排空延迟组(30. 00±18. 40 d vs. 21. 00±7. 90 d, P=0. 016)。结论 LPD术后胃排空延迟延长患者的住院时间, 影响患者术后恢复, 其围术期影响因素较多。需加强危险因素评估, 提供针对性护理, 以减少LPD术后胃排空延迟的发生。)http://www.zxyjhhl.hk/thesisDetails#10.12209/j.issn2709-1961.202101116laparoscopypancreatoduodenectomydelayed gastric emptyingperioperative nursingpostoperative bleeding腹腔镜胰十二指肠切除术胃排空延迟围手术期护理术后出血 |
| spellingShingle | ZHANG Qi (章棋) XIAO Li (肖黎) CAO Xinyan (曹鑫彦) HAN Juan (韩娟) Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) 中西医结合护理 laparoscopy pancreatoduodenectomy delayed gastric emptying perioperative nursing postoperative bleeding 腹腔镜 胰十二指肠切除术 胃排空延迟 围手术期护理 术后出血 |
| title | Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) |
| title_full | Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) |
| title_fullStr | Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) |
| title_full_unstemmed | Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) |
| title_short | Analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy (腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策) |
| title_sort | analysis of risk factors of delayed gastric emptying after laparoscopic pancreaticoduodenectomy and nursing strategy 腹腔镜下胰十二指肠切除术后胃排空延迟危险因素分析及护理对策 |
| topic | laparoscopy pancreatoduodenectomy delayed gastric emptying perioperative nursing postoperative bleeding 腹腔镜 胰十二指肠切除术 胃排空延迟 围手术期护理 术后出血 |
| url | http://www.zxyjhhl.hk/thesisDetails#10.12209/j.issn2709-1961.202101116 |
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